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Magnetic endoscopic imaging in pediatric colonoscopy: A positive impact on procedure completion rate and procedure
Andrew Liman1, Ronald Lal2, Osamu Winget Yasui3
1Department of Pediatrics, Lucile Packard Children's Hospital Stanford, Division of Pediatric Gastroenterology, Hepatology & Nutrition, Palo Alto, California, USA.
Objectives:
To assess the impact of magnetic endoscopic imaging (MEI) on pediatric colonoscopy.
Methods:
We analyzed demographics, procedure completion, procedure times, complications, and whether or not MEI was used for all colonoscopies between April 27, 2023, and January 18, 2024. MEI was available for every case but used at the endoscopist's discretion. Attendings were surveyed on the frequency and duration of interventions during fellow-performed colonoscopies.
Results:
We analyzed 310 colonoscopies, 113 (36%) of which used MEI. The average patient age was 13.8 years (range 5 months to 23 years). For the aggregate sample and attending-performed cases, there were fewer males in the groups that used MEI (p < 0.01). There were no other statistically significant differences in demographics or procedure indication when MEI was used. Terminal ileum (TI) intubation rate was higher when MEI was used in the aggregate sample (p = 0.02) and for fellow-performed cases (p = 0.04). TI intubation times and total procedure times were quicker when MEI was used in the aggregate sample and in both strata of attending-performed cases and fellow-performed cases (p < 0.001). One complication was reported in an attending-performed case that did not use MEI. Of the 145 fellow-performed procedures, 98 (68%) had completed surveys, 36 (36%) of which used MEI. There was no statistically significant difference in the number (p = 0.89) or duration (p = 0.96) of attending interventions when MEI was used.
Conclusion:
MEI use was associated with higher TI intubation rates, faster TI intubation, and shorter total procedure times. MEI may be a valuable adjunctive tool for pediatric endoscopists.
Insights
Magnetic endoscopic imaging (MEI) improved pediatric colonoscopy outcomes, leading to higher terminal ileum intubation rates and shorter procedure times. This technology shows promise as a valuable tool for pediatric endoscopists.
Area of Science:
- Gastroenterology
- Medical Imaging
- Pediatric Endoscopy
Background:
- Pediatric colonoscopy requires advanced imaging techniques for optimal outcomes.
- Assessing novel technologies like magnetic endoscopic imaging (MEI) is crucial for improving pediatric gastrointestinal procedures.
Purpose of the Study:
- To evaluate the impact of magnetic endoscopic imaging (MEI) on the effectiveness and efficiency of pediatric colonoscopies.
- To determine if MEI influences key procedural metrics and outcomes in pediatric patients.
Main Methods:
- A retrospective analysis of 310 pediatric colonoscopies performed between April 2023 and January 2024.
- Data collected included demographics, procedure completion rates, procedure durations, and complications, comparing cases with and without MEI use.
- Surveys of attending physicians assessed interventions during fellow-performed procedures using MEI.
Main Results:
- Magnetic endoscopic imaging (MEI) was used in 113 (36%) of the colonoscopies.
- MEI use was associated with a higher terminal ileum (TI) intubation rate (p=0.02) and significantly reduced TI intubation and total procedure times (p<0.001).
- No significant differences were observed in demographics, procedure indications, or attending interventions when MEI was utilized.
Conclusions:
- Magnetic endoscopic imaging (MEI) use correlates with improved terminal ileum intubation rates and reduced procedure times in pediatric colonoscopy.
- MEI demonstrates potential as a beneficial adjunctive tool for pediatric endoscopists, enhancing procedural efficiency and success.
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